What does "AI visibility" mean for my business?

When someone asks ChatGPT, Claude, or Gemini "what is the best..." or "where can I find...", AI gives specific recommendations. AI visibility is a measure of how often — and how positively — these AI platforms mention your business. It's the new version of being on the first page of Google, except now there are no pages — just one answer.

Which AI platforms do you monitor?

Pendium monitors ChatGPT, Claude, Gemini, Grok, Perplexity, DeepSeek, and Google AI Overviews — seven major AI platforms that consumers use to research local services. We run real queries that your customers actually ask and analyze the responses for mentions of your business, competitors, and industry topics.

How does Pendium improve my visibility?

Three ways. First, we identify the exact queries and topics where you're invisible. Second, we generate AI-optimized content — articles, guides, social posts — designed to help AI agents understand your business and recommend your services to the right people. Third, we continuously monitor to track improvement and find new opportunities. Most clients see measurable improvement within 60 days.

How long until I see results?

You'll get your first visibility report within minutes of signing up. Actual visibility improvement varies, but our clients typically see a 47% average improvement within 60 days. Some see results faster — it depends on your current online presence and how competitive your local market is.

Do I need to be technical to use this?

Not at all. Enter your website URL and Pendium handles everything: scanning AI platforms, analyzing your visibility, generating content, and tracking improvement. The dashboard is designed for business owners, not engineers. If you can check your email, you can use Pendium.

What makes this different from SEO?

Traditional SEO optimizes for Google's search rankings — blue links on a results page. AI visibility is different: AI doesn't show links, it gives direct answers. Even if you rank #1 on Google, ChatGPT might recommend a competitor. Pendium optimizes for the new paradigm — making sure AI platforms know about, trust, and recommend your business.

Pricing

Get a demo

Spruce Health

Visibility79

Vibe99

Businesses/Healthcare Technology/Spruce Health

AI Visibility & Sentiment

Spruce Health

Spruce Health is a healthcare technology company providing an all-in-one HIPAA-compliant communication platform for healthcare professionals. Founded in 2013, they enable secure messaging, telemedicine, phone systems, and care coordination tools that serve over 25,000 healthcare providers and millions of patients.

Active Monitoring

sprucehealth.com

Healthcare Technology Startups

AI Visibility Score

79/100

Good

Sentiment Score

99/100

AI Perception

Summary

Spruce Health has secured an authoritative position as the definitive leader for practice efficiency on Gemini and Claude, yet it faces a critical visibility hurdle on ChatGPT where it frequently drops out of the top results for telehealth infrastructure queries. While Practice Administrators see the brand as the gold standard with a 100% mention rate, there is a significant opportunity to capture the underserved Solo Private Practice segment where visibility lags by over 30%.

Value Proposition

The leading all-in-one platform for HIPAA-compliant healthcare communication, combining secure messaging, telemedicine, phone systems, and care coordination in a single modern solution that saves time and improves patient experience.

Overview

Mission

Helping to make quality healthcare more accessible by modernizing healthcare communication tools for both providers and patients.

Products & Services

HIPAA-compliant secure messaging platformVideo telemedicine visitsBusiness phone system with voicemail transcriptionE-fax servicesTeam collaboration and care coordination tools

Agent Breakdown

AI Platforms

How often do different AI platforms reference Spruce Health?

Loading explorer...

Conversation Analysis

Topics

What conversations is Spruce Health included in — or excluded from?

Loading explorer...

Buyer Personas

Personas

Who does each AI platform recommend Spruce Health to, and when?

Loading explorer...

Programmatic Testing

Sample Conversations

We programmatically analyze questions that real customers are asking to AI agents and chatbots, extract brand mentions and sentiment, analyze every response, and synthesize the data into an action plan to increase AI visibility.

ChatGPT

Claude

Gemini

AI Overviews

Streamlining Clinical Communication & Efficiency(3 queries)

“help me simplify my practice's communications, i need one tool that does phone, fax, and secure chat”

2/4 platforms mentioned

ChatGPT

1.RingCentral for Healthcare

2.Nextiva for Healthcare

3.TigerConnect

4.Spok

5.RingCentral

+6 more

Claude

1.Updox

2.Practum

Gemini

1.Spruce Health

2.RingCentral for Healthcare

3.Epic

4.Cerner

5.Nextiva

+6 more

AI Overviews

1.Spruce Health

2.RingRx

3.Updox

4.Weave

5.Doctoc

+6 more

“what's the best hipaa compliant business phone system with voicemail transcription”

2/4 platforms mentioned

ChatGPT

1.Dialpad

2.RingCentral

3.Nextiva

4.Spruce

5.Spruce Health

+3 more

Claude

1.Google Voice

2.Simpel

3.Pablotel

4.Hipaa Cloud

5.Twilio

Gemini

1.Spruce Health

2.iPlum

3.RingCentral

AI Overviews

1.RingRx

2.Phone.com

3.RingCentral

4.Dialpad

5.Mitel MiCloud Connect

“how can i coordinate care between my doctors and nurses more efficiently without using insecure apps”

3/4 platforms mentioned

ChatGPT

1.Spruce Health

2.OhMD

3.Updox

4.TigerConnect

5.Klara

+4 more

Claude

1.Doximity

2.TigerConnect

3.eFax

4.Google Voice for Business

Gemini

1.Spruce Health

2.iPlum

3.RingCentral

4.SRFax

5.Hushmail for Healthcare

+2 more

AI Overviews

1.Televox

2.MyChart

3.Athenahealth

4.TriageLogic

5.OhMD

8.Spruce Health

+4 more

Establishing A Telehealth Infrastructure(1 query)

“i'm starting a remote-only clinic, what tech stack do i need for video visits and patient messaging”

4/4 platforms mentioned

ChatGPT

1.Twilio Video

2.Agora

3.Daily.co

4.Vonage

5.TokBox

14.Spruce Health

+52 more

Claude

1.Doxy.me

2.Teladoc

3.Zoom for Healthcare

4.Google Meet

5.Microsoft Teams

7.Spruce Health

+13 more

Gemini

1.Elation Health

2.Elation Communicator

3.SimplePractice

4.CharmHealth

5.Spruce Health

+12 more

AI Overviews

1.Residency Advisor

2.SimplePractice

3.ClinikEHR

4.DrChrono

5.Doxy.me

10.Spruce Health

+7 more

Trust & Reviews For HIPAA Compliant Platforms(1 query)

“what are the most reliable hipaa compliant communication apps for doctors in 2026”

2/4 platforms mentioned

ChatGPT

1.TigerConnect

2.Epic

3.Cerner

4.Imprivata Cortext

5.Imprivata

12.Spruce Health

+31 more

Claude

1.Teladoc

2.Livongo

3.EHR

4.Cisco Webex

5.Microsoft Teams

+7 more

Gemini

1.Microsoft Teams

2.Microsoft 365

3.Azure

4.TigerConnect

5.TigerTouch

+8 more

AI Overviews

1.TigerConnect

2.Spruce Health

3.OhMD

4.OnPage

5.QliqSOFT

+2 more

Analysis

Key Insights

What AI visibility analysis reveals about this brand

Strength

Unrivaled authority on Gemini and Claude with near-perfect positioning (avg pos 1.7 and 1.8) across clinical communication queries.

Strength

Total market capture (100% mention rate) for the Efficiency-Driven Practice Administrator persona.

Strength

Dominant performance in 'brand vibe check' queries, maintaining #1 rankings across all tested AI platforms.

Gap

Significant volatility on ChatGPT where positioning averages drop to 6.1, including a #14 ranking for telehealth infrastructure.

Gap

Underperformance with Solo Private Practice Therapists who only see the brand in 69% of relevant searches.

Gap

Mixed sentiment profiles among Tech-Forward Concierge Physicians despite high visibility, indicating a perceived gap in high-end service features.

Opportunity

Leverage Gemini's high affinity to dominate the 'tech stack' conversation for new remote-only clinics.

Opportunity

Convert mixed sentiment into positive advocacy by seeding AI training sets with specialized concierge medicine success stories and high-touch features.

Opportunity

Bridge the visibility gap in HIPAA-compliant phone system queries on AI Overviews where current rankings fluctuate significantly.

Technical Health

Site Health for AI Visibility

How well Spruce Health's website is optimized for AI agent discovery and comprehension.

86/100

16 passed 3 warnings 2 issues

Audited 2/28/2026

Crawlability100

Can AI bots find your pages?

Technical96

SSL, mobile, doctype basics

On-Page SEO80

Titles, descriptions, headings

Content Quality60

Word count, depth, freshness

Schema Markup85

Structured data for AI comprehension

Social & OG82

Open Graph, Twitter cards

AI Readability60

How well AI can parse your content

Critical Issues

Page has no meta description

Add a <meta name="description"> tag summarizing the page (150-160 characters).

Content is too thin

Expand your content to at least 300-500 words with valuable information.

Warnings

2 render-blocking resource(s) detected

Consider deferring or async-loading non-critical scripts and stylesheets.

Title is too short (24 characters)

Expand the title to 50-60 characters with descriptive keywords.

Missing Open Graph tags for social sharing

Add og:title, og:description, and og:image meta tags.

Want a full technical audit with AI-specific recommendations?

Run a free visibility scan

Brand Identity

Brand Voice & Style

How AI perceives Spruce Health's communication style and personality

Spruce Health communicates with a professional yet approachable tone that balances healthcare industry credibility with modern, accessible language. Their voice is confident and trustworthy, emphasizing reliability and security while remaining warm and supportive. They speak directly to the pain points of busy healthcare professionals, using clear and concise messaging that respects their audience's time. The brand maintains an innovative yet practical personality, positioning themselves as forward-thinking without being overly technical or intimidating.

Core Tone Traits

Professional & Trustworthy

Conveys healthcare-grade reliability and security while maintaining warmth

Clear & Concise

Respects busy professionals' time with straightforward, jargon-free communication

Supportive & Empathetic

Understands provider challenges and positions as a helpful partner

Modern & Innovative

Forward-thinking approach to healthcare technology without being intimidating

Competitive Landscape

Related Ecosystem

Related products and services that AI mentions in conversations alongside or instead of Spruce Health

Spruce Health54 mentions

OhMD25 mentions

TigerConnect24 mentions

Klara24 mentions

RingCentral17 mentions

Zoom for Healthcare15 mentions

Epic14 mentions

Athenahealth14 mentions

Cerner13 mentions

SimplePractice13 mentions

Doxy.me13 mentions

Source Intelligence

Citations

Sources that AI assistants cite. Getting featured here improves visibility.

Updox | Telehealth, Electronic Fax, & More Health Solutions

https://www.updox.com/

Referenced in 1 query

Pitch Story

RingRx: HIPAA Compliant Phone System Designed for ...

https://ringrx.com/

Referenced in 2 queries

Pitch Story

hipaa compliant texting platforms: Top Picks for 2025 - Call Loop

https://www.callloop.com/blog/hipaa-compliant-texting-platforms

Referenced in 1 query

Review

Top 10 HIPAA-Compliant Messaging Platforms for Healthcare ...

https://www.beconversive.com/blog/hipaa-compliant-messaging-platforms

Referenced in 3 queries

Review

Top 10 HIPAA-Compliant Messaging Apps in 2026 - Blaze.tech

https://www.blaze.tech/post/hipaa-compliant-messaging-app-a-guide-to-secure-patient-communication

Referenced in 2 queries

Review

Spruce Health

https://sprucehealth.com/

Referenced in 2 queries

Review

HIPAA Compliant Fax Service - RingRx

https://ringrx.com/marketing-faq/

Referenced in 1 query

Pitch Story

Top 10 HIPAA-Compliant Messaging Apps for Healthcare (2026)

https://www.onpage.com/hipaa-compliant-messaging-app-a-guide-to-secure-healthcare-communication/

Referenced in 3 queries

Review

The Top 5 Secure Patient Texting Platforms for 2026 - QliqSOFT

https://www.qliqsoft.com/blog/the-top-5-secure-patient-texting-platforms-for-2026

Referenced in 4 queries

Review

10 best HIPAA compliant messaging tools - Rocket.Chat

https://www.rocket.chat/blog/hipaa-compliant-messaging

Referenced in 2 queries

Review

HIPAA Compliant Phone System for Hospitals - RingRx

https://ringrx.com/hospitals-and-enterprise/book-a-demo/

Referenced in 2 queries

Pitch Story

7 best HIPAA-compliant texting apps for therapists - Healthie

https://www.gethealthie.com/blog/hipaa-compliant-texting-apps-for-therapists

Referenced in 2 queries

Review

Content Engineering

Goals & Content Ideas

Ideas to help AI agents better understand the business and be more likely to use Spruce Health's resources to help users.

Optimize Technical Documentation for ChatGPT Discovery

Address the critical visibility gap where Spruce ranks as low as #14 on ChatGPT for 'remote clinic tech stack' queries, losing high-intent prospects to competitors like TigerConnect. This goal focuses on enhancing technical documentation, API references, and integration listings across platforms that LLMs reference, while amplifying this content through social media to increase crawl frequency and citation signals.

The Complete Remote Clinic Tech Stack Checklist: 12 Essential Integrations for Modern Telehealth

How HIPAA-Compliant Communication Platforms Integrate with Your Existing EHR System

5 Technical Requirements Every Remote Clinic Should Demand from Their Communication Platform

Building a Seamless Remote Clinic Workflow: Integration Best Practices for Healthcare Teams

Why Your Remote Clinic Tech Stack Fails Without Unified Communication at the Center

Address Concierge Physician Sentiment Friction Points

Tackle the mixed sentiment issue among Concierge Physician personas where high visibility (95%) is undermined by negative associations, suggesting AI is surfacing specific feature gaps or friction points. This goal involves auditing and responding to boutique practice concerns through targeted content that highlights Spruce's premium features, white-glove service capabilities, and personalized patient communication tools.

What Concierge Physicians Actually Need from a Communication Platform (And What Falls Short)

How Boutique Medical Practices Deliver VIP Patient Experiences with Modern Messaging Tools

The Concierge Practice Communication Playbook: Balancing Accessibility with Exclusivity

5 Features That Transform Standard Healthcare Platforms into Concierge-Ready Solutions

Case Study: How a Concierge Practice Reduced Response Time While Maintaining Personal Touch

Create Solo Therapist-Focused Content Library

Address the lowest visibility segment (69%) among Solo Private Practice Therapists by developing persona-specific content that LLMs can associate with solo practitioner workflows. This strategy involves creating and distributing content that speaks directly to the unique challenges of independent mental health providers, from client intake to session reminders, feeding LLM training data with Spruce-associated solutions.

The Solo Therapist's Guide to HIPAA-Compliant Client Communication Without a Front Desk

How Independent Mental Health Providers Manage Client Messages Between Sessions

5 Time-Saving Communication Automations Every Solo Therapist Should Implement Today

Why Solo Practice Therapists Are Switching from Multiple Apps to All-in-One Platforms

Client Boundaries Made Simple: Setting Communication Expectations in Your Private Practice

Strengthen AI Search Visibility Through Strategic Keywords

Improve overall AI assistant discoverability by optimizing content around the specific query patterns and keywords that ChatGPT and other LLMs use when recommending healthcare communication solutions. This involves strategic social media content that reinforces Spruce's positioning for high-value search terms like 'remote clinic tech stack,' 'HIPAA-compliant messaging,' and 'telehealth communication platform.'

What to Ask When Evaluating HIPAA-Compliant Communication Platforms for Your Practice

The Essential Healthcare Communication Platform Comparison: Features That Actually Matter

How Modern Telehealth Communication Differs from Traditional Medical Phone Systems

10 Questions Every Healthcare Provider Should Ask Before Choosing a Messaging Platform

Why 25,000+ Healthcare Providers Trust All-in-One Communication Over Piecemeal Solutions

Content Engineering

Recommended Actions

Optimize technical documentation and integration listings to improve ChatGPT retrieval for 'remote clinic tech stack' queries.

Spruce currently drops as low as #14 on ChatGPT for these high-intent queries, allowing competitors like TigerConnect to capture the top of the funnel.

Impact: High

Audit and address the root causes of 'mixed sentiment' within the Concierge Physician persona.

High visibility (95%) paired with mixed sentiment suggests that while the AI is aware of the brand, it is surfacing specific friction points or feature gaps relative to boutique needs.

Impact: High

Develop and distribute persona-specific content focused on Solo Private Practice Therapists to feed LLM training data.

This persona represents the brand's lowest visibility segment (69%), indicating a lack of specialized content that LLMs can associate with solo practitioner workflows.

Impact: Medium

Is this your business? We can help you improve your AI visibility.

Book a Free Strategy Session

Backing